<!DOCTYPE html>
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<html>
    <head>
        <title>Formulaire</title>
        <link rel="stylesheet" href="bootstrap.css">
        <link rel="stylesheet" href="../tp01/tp01_css.css" type="text/css"/>

        <meta charset="UTF-8">
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
    </head>
    <body>
        <div class="panel panel-primary">
            <div class="panel panel-heading">Formulaire</div>
            <div class="panel panel-body">
                     <form method="POST" action="tp04_inscription_post_action.php">
                            <div class="form-group">
                              <label for="nom">nom:</label>
                              <input type="text" class="form-control" value="ww" name="nom" id="nom">
                            </div>
                            <div class="form-group">
                              <label for="nom">prenom:</label>
                              <input type="text" class="form-control" value="ww" name="prenom" id="prenom">
                            </div>
                            <div class="form-group">
                              <label for="email">Email address:</label>
                              <input type="email" class="form-control" value="www@www" name="email" id="email">
                            </div>
                             
                            <label>sexs:</label>
                              <div class="form-check">
                                    <input class="form-check-input" type="radio" name="chksex" id="male" value="male" checked>
                                    <label class="form-check-label" for="male">M</label>
                              </div>  
                              <div class="form-check">  
                                    <input class="form-check-input" type="radio" name="chksex" id="female" value="female">
                                    <label class="form-check-label" for="female">F</label>
                              </div>
                                   
                           
                            <div class="form-group">
                                <label class="my-1 mr-2" for="ORIGINAL_DES_ETUDE">ORIGINAL DES ETUDE</label>
                                <select class="custom-select my-1 mr-sm-2" name="etude" id="ORIGINAL_DES_ETUDE">
                                    <option selected value="non">Choose...</option>
                                    <option value="TC et L'UTT">TC et L'UTT</option>
                                    <option value="DUT">DUT</option>
                                    <option value="INFO">INFO</option>
                                    <option value="DUT EG21">DUT EG21</option>
                                </select>
                            </div>
                            <div class="form-group">
                                <label for="radio">VALITARISATION:</label>
                                <div class="form-check">
                                    <input class="form-check-input" type="checkbox" name="VALITARISATION1" id="valitation1" value="Y">
                                    <label class="form-check-label" for="valitation1">STO7</label>
                                </div>
                                <div class="form-check form-check">
                                    <input class="form-check-input" type="checkbox" name="VALITARISATION2" id="valitation2" value="Y">
                                    <label class="form-check-label" for="valitation2">ST09</label>
                                 </div>
                                 <div class="form-check form-check">
                                    <input class="form-check-input" type="checkbox" name="VALITARISATION3" id="valitation3" value="Y">
                                    <label class="form-check-label" for="valitation3">ST10</label>
                                 </div>
                            </div>
                             <div class="form-group">
                                 <label for="moduel">moduel:</label>
                                 <select title="moduel" class="selectpicker" name="module" >
                                    <optgroup label="CS">
                                      <option value="cs" selected>GLO2</option>
                                      <option value="cs">NF16</option>
                                      <option value="cs">NF20</option>
                                    </optgroup>
                                    <optgroup label="TM">
                                      <option value="tm">IF09</option>
                                      <option value="tm">IF14</option>
                                      <option value="tm">LO02</option>
                                    </optgroup>
                                  </select>

                             </div>
                             <div class="form-group">
                                   <label for="info">infomation complementaire:</label>
                                   <input type="text" class="form-control" name="info" id="info" value="Bonjor....">
                             </div>
                            <input type="submit" value="Submit">
                        </form>
                
                
                
            </div>
        
        
        
        </div>
    </body>
</html>
